Civil War Washington

CASE 34.—Date of onset undefined; mental dulness​; eruption; sordes; perspiration followed by delirium; improvement, but record unfinished.—Private Henry Klummer, Co. I, 35th Pa. Vols.; age 20; was admitted Oct. 30, 1861, as a case of typhoid fever, presenting dulness​ of mind, dull and somewhat injected eyes, congestion of the face, a full strong pulse beating 90 per minute, a hot skin showing a few rose-spots on the chest and abdomen, a dry, fissured and brown-crusted tongue, sordes on the lips and teeth, anorexia, thirst and some tympanites. Beef-essence, quinine and turpentine emulsion were prescribed. No change took place until November 2, when the skin was bathed in perspiration and some deafness was noted. Delirium set in on the 3d, on which day the patient had three stools. The tongue seemed cleaning on the 7th and the delirium lessened, but the condition otherwise was as related. On the 9th, after passing a better night than usual, he showed a return of appetite. Next day he was intelligent. On the 11th the tongue was red at the tip and edges, dry and brown in the centre and the skin was hot, but the patient slept well, had a good appetite, and his bowels were quiet. The record gives no further details. He was transferred to Baltimore, Md., on December 3.